clinical picture
1. Ear symptoms: Due to the accumulation of inflammatory secretions in tonsil hypertrophy and nasopharynx, the pharyngeal orifice of eustachian tube is blocked, which may be complicated with non-suppurative or suppurative otitis media, resulting in hearing loss, tinnitus and stuffy ear. 2. Nasal symptoms: tonsil hypertrophy is often complicated with rhinitis and sinusitis. The child has symptoms such as nasal congestion, runny nose, mouth breathing, salivation, nasal congestion when talking, and snoring when sleeping. 3. Symptoms of respiratory tract infection: Due to poor inflammation, secretions stimulate respiratory mucosa, which often causes throat, trachea and bronchitis, so patients may have symptoms such as throat discomfort, voice change, cough and spitting, asthma and low fever. 4. "Adenoid face": Due to long-term oral breathing, the facial bone development of children is affected, the maxilla is long and narrow, and the high arch of hard palate becomes narrow. Protruding teeth, irregular dentition, poor occlusion, drooping jaw, thick lips, upturned upper lip, drooping lower lip, downward canthus and shallow nasolabial groove. Coupled with listlessness, facial expressions are dull, which is the so-called "adenoid face."
symptom
Symptoms of tonsillar enlargement, sometimes lymphoid tissue will be enlarged (due to chronic inflammation or allergic reaction), and then tonsillar enlargement will occur. Tonsillar enlargement can block the respiratory tract, cause sinusitis, otitis media, or cause intractable cough. People with swollen tonsils can only breathe through their mouths. The onset of tonsillitis is very direct, seeing is believing, and the condition of tonsils can be seen intuitively. Let the child open his mouth and observe the changes of tonsils and oropharynx, and you can know whether there is tonsillitis. But in addition to diagnosing tonsillitis, doctors have an important task to distinguish between bacterial infection and viral infection, whether there is systemic infection and whether there will be other complications. Usually bacterial diseases may need to be treated with antibiotics, while viral diseases do not need antibiotics. If necessary, a blood test can be performed to help the diagnosis.
serious
Is tonsillitis serious? Will there be any bad sequelae? Basically, tonsillitis itself is a very benign disease, but the problem will lie in the pathogen itself, the severity of infection and the strength of physical resistance. If this pathogen only caused local tonsil infection, the course of infection in the past would be fine. However, some pathogenic bacteria will have systemic effects, and may have complicated course of disease or bad sequelae, such as arthritis, nephritis, myocarditis, endocarditis and so on.
Post-illness measures
Tonsillitis is contagious, so the child got tonsillitis. If possible, they should try not to go out. Children with severe tonsillitis should rest more and drink water properly. Some children often have repeated infections, and their tonsils become swollen than usual. Some people are big at birth and tend to get bigger after infection. Sometimes it will affect breathing, or cause loud snoring during sleep, and even affect the quality of sleep. Consider tonsillectomy. How to edit this paragraph to treat tonsillar enlargement
Treatment of tonsillar enlargement with traditional Chinese medicine
Tonsillar enlargement is generally due to tonsil congestion caused by repeated inflammation. Adopting the theory of promoting blood circulation and removing blood stasis in traditional Chinese medicine. Transdermal administration has a lasting effect. When it arrives, its congestion is gradually reduced, thus achieving the purpose of shrinking tonsils. At present, traditional Chinese medicines that are proved to be effective for external use, such as tonsil patches with the most varieties at present, are generally applied to the affected area 15-24 hours.
Treat as soon as possible
Tonsillar enlargement should be treated as soon as possible. In the early stage of the disease, when you see the above symptoms for the first time (see the second title of "Symptoms" in the first title of this entry "What is tonsillar enlargement"), you should go to the relevant hospital for examination as soon as possible. Treatment of Tonsillar Enlargement Many patients don't know about Tonsillar Enlargement, so they didn't treat Tonsillar Enlargement in time at the initial stage of symptom discovery, which led to the aggravation of Tonsillar Enlargement.
Surgery or not
Tonsils need to be removed in the following situations: frequent tonsillitis, or tonsillar lesions completely affect the health of children or interrupt learning, affecting hearing or breathing. However, sometimes tonsillectomy is unnecessary. If the diagnosis is in doubt, we should consider whether there are other problems. The indications of tonsillectomy include: tonsillitis occurs more than four times a year; Tonsillitis more than three times a year within two years; Tonsillar enlargement causes upper respiratory tract obstruction, causing severe snoring, dysphagia and unclear pronunciation. Suffering from one or more tonsil abscesses; Tonsils cause systemic diseases and become focal tonsils; Repeated inflammation of tonsils causes recurrent attacks, such as rhinitis, otitis media and tracheitis. Or incurable for a long time.
Surgical procedure
The operation was performed under general anesthesia. When the patient falls into a deep sleep state and loses pain, the tonsils are stripped and removed. Most incisions heal naturally without suturing. The postoperative hospitalization time of patients is generally more than 24 hours. It is generally believed that tonsillectomy will not have any adverse effects on later life.
Advantages and disadvantages of operation
Some parents ask doctors to remove tonsils for their children because they often have tonsillitis, but doctors usually think carefully. Why can't tonsils be removed casually? The tonsil is the largest lymphoid tissue in the pharynx. In childhood, it is an active immune organ, containing lymphocytes at various stages of development, such as T cells, B cells, phagocytes and so on. Therefore, it not only has humoral immunity and produces various immunoglobulins, but also has certain cellular immunity. Immunoglobulin IgA produced by tonsils has strong immunity, which can inhibit the adhesion of bacteria to respiratory mucosa, inhibit the growth and spread of bacteria, and neutralize and inhibit viruses. IgA can also enhance the function of phagocytes by activating complement. These are the most active between the ages of two and five. From the point of view of immunity, tonsils should not be removed casually because of their immune function to the body. Tonsil hypertrophy in children is a normal physiological phenomenon. If hypertrophy does not affect breathing and swallowing and does not produce serious clinical manifestations, it should not be removed. Because excision may affect the local immune response and reduce the body's ability to resist infection. If tonsillitis recurs, which hinders breathing and swallowing and causes diseases such as rheumatism and nephritis, it should be removed in time. Generally, tonsillectomy in children should be performed after the age of four, and it is more appropriate to wait for two to three weeks after the inflammation subsides. However, if the attack is too frequent and can't wait, you can consider performing surgery after the attack subsides for a few days. Edit this paragraph on prevention and health care.
The first is to strengthen the body's resistance and pay attention to the combination of work and rest. Many people often work overtime, which easily leads to tonsil inflammation and hypertrophy. Secondly, we should reduce the stimulation of alcohol and tobacco and develop good study and living habits. At the same time, we should also actively treat diseases of neighboring organs, such as acute and chronic rhinitis. 1. Tonsillitis is usually the largest at the age of 3 ~ 10, and gradually decreases after 10, so childhood tonsillitis is the focus of prevention and treatment. 2. Strengthen exercise, especially in winter, and participate in outdoor activities to enhance the body's adaptability to cold and reduce the chance of tonsillitis. Keep your mouth clean and rinse your mouth after meals. 4. Acute tonsillitis is mostly caused by bacterial infection, especially purulent bacteria, such as streptococcus and staphylococcus aureus. Therefore, antibiotics must be used, among which penicillins are the most effective, and oral or intravenous injection can be chosen according to the severity of inflammation. 5. Tonsillectomy can be done for chronic tonsillitis or tonsil hypertrophy. Nowadays, rapid tonsillectomy is often used. During the operation, the patient's mouth was sprayed with topical anesthetic. After waiting for a while, the patient will feel a dull pain in his throat, and then he will lie in bed. The doctor uses an instrument called an extrusion knife to remove all tonsils at the moment when the patient opens his mouth. The operation was very quick, and the operation was completed before the patient felt pain. The patient is awake all the time and can eat cold food immediately, in order to promote vasoconstriction and prevent postoperative bleeding. You don't need to be hospitalized after operation, and you can go home after outpatient observation 1 ~ 2 hours. 6. Eat a semi-liquid diet, such as noodles and egg cakes, within 0/~ 2 weeks after operation. 7. It's not over after surgical resection, and you can get pharyngitis again. Therefore, the ideal method is to try not to remove it.